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Fort Pierce Utilities Authority Please remit payment to:
s
"Committed To Quality" Fort Pierce Utilities Authority
WaterlWastowator Engineering SCHIVIVtD Attention: Key Accounts Department
P.O. Box 3191
P.O. Box 3191 (349483191) BY Fort Pierce, FL 3494"191 ' s
1701 S. 37th:Street St. Lucie Court
Fort Pierce, FL 34947
Phone(772)466-1600 Fax(772)468-2414
Job Location: 3214 Avenue D , , Invoice Number: 517
Account Name: Family Dollar PCN; 240821100010003
Contact Name: Family Dollar FEI#
Billing Address: 3214 Avenue D
Phone: (5611241-1569 Fax:( 1 - Call:
Fort Pierce FL 34953
Location Id:
Accounting:codes
#
Size
Description
Fees
06-3-060-43701-0000
2
1.518
water Meter and/or Service Installation
General
$1,500.00
06-2=000-23500-0000
Water Security Deposit
0 Inside City Limits
$210.00
06-3-060.48800-0000
Water Now Account Setup Charge
$60,00
06-3-060-43702-0000
Water Capital Improvement Charge
WERC's --
3.50
$3.22135
08-2-000-23500-0000
Wastewater Security Deposit
$90,00
08-3-080-48800-0000
Wastewater New Account Setup Charge
S20.00
08-3-080-43702-0000
Wastewater Capital Improvement Charge
WW ERCs
- 1.25
$3,518.75
Accounting Codes
Construction Cost Estimate
Fees
Description for service order:
Total Paid:
Invoice Total: 8 620.50
Install (1)-518"x314" domestic water meter with sewer viva grinder
station & (1)•-V irrigation only meter;
Date Paid: Check Number:
Customers wilt be assessed wastewater charges the day theyconnect to the wastewater system or wiUrn 355 days from data wastewater Connection
Charge is paid - whichaver is first. The cost of the service line from the point of delivery at the property line tgthe houselbulding is the rosponsibirdy of the
customer and is not included in this invoice, State laws require that a permit tarn the Health Department must be obtained prior to irn6stlng a sapliC tank
abandonment Contact the Health Departmental (7r2fM493L
Construction cost estimates. are based on current labor, equpmenf and matedal prices. Actual costs of construction will be determined at the completion of
the pmicM Should unforeseen circumstances be encountered during construction, including but not limited to adverse weather conditions and
construction conflicts, the customer will be responsible for increased costs. Addifional costs inoxred.by the .aistc mer shall not exceed fifteen (15)
Percent of the total estimated construction costs shown above. Estimated costs paldby the customer that exceed the actual cost of construction will be
refunded by Fart Pierce U1114iss Authority,
Reviewed By: James Carnes P.E., Supervising Engineer ,,:c—
Customer's Signature;
Printed Name:
Date: 2017-08-28
Date:
Fort Pierce Utilities Authority
"Committed To Quality"
Water/Wastewater Engineering
Please remit payment to:
Fort Pierce Utilities Authority
Attention: Key Accounts Department
P.O. Box 3191
P.O. Box 3191 (34948-3191) ? V
1701 S. 37th Street Fort Pierce, FL 34948-3191
Fort Pierce, FL 34047
Phone (772)486-1600 Fax (772)468-2414
Job Location: 3214 Avenue D Invoice Number: 517
Account Name: Family Dollar
Contact Maine: FemllyDollar
Billing Address: 3214 Avenue D
Phone: (661)241-1569 Fax:
Cell:
PCN: 240821100010003
FEI#
Pierce
FL 34963
Location Id:
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06-3-060.43701-0000
2
1,5/8
Water Meter and/or Service Installation
0 General
$1,600.00
06-2-000.23500.0000
Water Security Deposit
0 Inside City Limits
$210.00
06-3.060-48800.0000
Water New Account Setup Charge
$60.00
06-3-060.43702.0000
Water Capital Improvement Charge
W ERC's
3.50
$3,221.76
08-2-000.23500-0000
Wastewater Security Deposit
$90.00
08-3-080-48800-0000
Wastewater New Account Setup Charge
$20.00
08-3-080.43702-0000
Wastewater Capital Improvement Charge
WWERC's
1,25
$3,518.75
'N%ltbCb11''
'a�._.1,.�...ti�u'`�ic.."<1st'Yu,.fQ$t�t(•rirl���Ci1�2.ys4!cmtB.!,.,.'nb�..�T?C�+�'•,.:.?x4�,`�3hxa
Invoice Total: B 620.50
Description for service order: Install (1)-5/8"0/4" domestic water meterwlth sewer via a grinder
station & (1)-1" Irrigation only meter.Annexation agreement required.
Total Paid w,$8'�20'50,;;±; Date Pald: '`tx 02I1A,I2018 , ,ter ���
Check Number: "�O6a .:
Customers will be assessed wastewater charges the day they connect to the wastewater system or within 3e5 days from dale wastewater Connection
Charge Is paid -whichever Is first. The coot of the service Ilner from the point of delivery at the property line to the house/building Is the responsibility of the
customer and is not Included In this Invoice. Stale laws requlre that a permit from the Health Department must be obtained prior to Initialing a Septic lank
abandonment Conlacl lho Health Department st (772)973-4e31. '
Construction cost estimates are based on current labor, equipment and material prices. Actual costs of construction will be determined at the completion of
the project. Should unforeseen circumstances be encountered during construction, Including but not limited to adverse weather conditions and
construction connlcts, the customer will be responsible for Increased costa, Additional costs Incurred by the customer shall not exceed fifteen (15)
percent of the total estimated construction costs shown above. Estimated costs paid by the customer that exceed the actual cost of construction will be
refunded by Fort Pierce Utilities Auihnrlly.
Reviewed By: James Carnes, P.E„ Supervising Engineer
Customer's Signature:
Printed Name:
Date: 2017-08.28
Date:
Fort Pierce Utilities Authority
"Committed To Quality-
Water/Wastewater Engineering
Please remit payment to:
Fort Pierce Utilities Authority
Attention: Key Accounts Department
P.O. Box 3191
P.O. Box 3191 (34948-3191) 3
Fort Pierce, FL 34948-3191
1701 S. 37th Street ti
Fort Pierce, FL 34947
Phone (772)466-1600 Fax (772)468-2414
Job Location: 3214 Avenue D Invoice Number: 617
Account Name: Family Dollar PCN: 240821100010003
Contact Name: Family Dollar FEI#
Billing Address: 3214 Avenue D Fort Pierce FL 34953
Phone: (561)241-1569 Fax:( ) - Cell: Location Id:
g;=/ccauhtr�gccotle§
>#le
pesdrlptor��ees
.>G.,
06-3-060-43701-0000
2
1,5/8
Water Meter and/or Service Installation
la General
$1,500.00
06-2-000-23500-0000
Water Security Deposit
Q Inside City Limits
$210.00
06-3-060-48800-0000
Water New Account Setup Charge
$60.00
06-3-060-43702-0000
Water Capital Improvement Charge
W ERC's
3.50
$3,221.75
08-2-000-23500-0000
Wastewater Security Deposit
$90.00
08-3-080-48800-0000
Wastewater New Account Setup Charge
$20.00
08=3-080-43702-0000
Wastewater Capital Improvement Charge
WIN ERC's
1.25
$3,518.76
Invoice Total: 8 620.50
Description for service order: Install (1)-5/8"x3/4" domestic water meter with sewer via a grinder
station & (1)-l" irrigation only mete .An exabon agr_ee_niont rsquiyo-
J1
Total Paid: '�- $8'6 0 � Date Paid: �`02114t2018` "a,. Check Number:
Customers will be assessed wastewater charges the day they connect to the wastewater system or within 365 days from date wastewater Connection
Charge is paid - whichever is first The cost of the service line from the point of delivery at the property line to the houselbullding Is the responsibility of the
customer and Is not included In this invoice. Stale laws require that a permit from the Health Department must be obtained prior to Initiating a septic tank
abandonment. Contact the Health Department at (772)673-4931.
Construction cost estimates are based on current labor, equipment and material prices. Actual costs of construction will be determined at the completion of
the project Should unforeseen circumstances be encountered during construction, including but not limited to adverse weather conditions and
construction conflicts, the customerwlll be responsible for increased costs. Additional costs incurred by the customer shall not exceed fifteen(15)
percent of Iha total estimated construction costa shown above. Estimated costa paid by the customer that exceed the actual cost of construction will be
refunded by Fort Pierce Utilities Authority.
Reviewed By: James Carnes, P.E., Supervising Engineer
Customer's Signature:
Printed Name:
Date: 2017-08-28
Date: